Organization
SANTA MONICA ORTHOPAEDIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J GOWEY MD (PRESIDENT)
(310) 829-2663
Entity
Organization
Contact information
Practice address
1301 20TH ST, 150, SANTA MONICA, CA 90404-2050
(310) 829-2663
Mailing address
1301 20TH ST, 150, SANTA MONICA, CA 90404-2050
(310) 829-2663
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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